Claudio A Deperalta, MD is a medicare enrolled "Surgery" physician in Alliance, Ohio. His current practice location is
149 E Simpson St, Alliance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 823-4424.
Claudio A Deperalta is licensed to practice in Ohio (license number 35070562) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225117575.
Physician's Profile
| Full Name | Claudio A Deperalta |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
|---|
| Location | 149 E Simpson St, Alliance, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1225117575
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 04/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789666538
- Enrollment ID: I20040604000247
Medical Identifiers
Medical identifiers for Claudio A Deperalta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225117575 | NPI | - | NPPES |
| 0319702 | Medicaid | OH | |
| 20110438300 | Other | OH | BWC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 35070562 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Claudio A Deperalta allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Professional Care, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902827876
PECOS PAC ID: 7416857198
Enrollment ID: O20040109000676 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Claudio A Deperalta is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Claudio A Deperalta, MD
149 E Simpson St,
Alliance, OH 44601-4219
Ph: (330) 823-4424 | Claudio A Deperalta, MD
149 E Simpson St,
Alliance, OH 44601-4219
Ph: (330) 823-4424 |
Reviews and Comments